NPI | 1386169738 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21437) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10576) |
2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI3341) | |
Enumeration Date | 2017-08-07 |
Last Update Date | 2024-04-23 |